| NPI | 1376901025 |
|---|---|
| Former Name | KAYLA ANNE OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00458500) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2025-01-27 |